infantile hemangioma (iH) is one of the most common vascular tumors that occurs during childhood, but its pathogenesis is currently not completely understood. even though lncrna nuclear paraspeckle assembly transcript 1 (neaT1) plays vital roles in tumorigenesis of malignant tumors, its roles in iH remain unclear. Therefore, we evaluate the function of lncrna neaT1 in iH. reverse transcription-quantitative Pcr indicated that iH tissues exhibited high expression levels of neaT1 and hypoxia-inducible factor 1α (HiF1α), and low expression levels of the microrna (mir)-33a-5p. Small interfering rna-mediated depletion of neaT1 suppressed hemangioma endothelial cell (Hemec) proliferation, migration and invasion. The data suggested that neaT1 positively regulated HiF1α expression by sponging mir-33a-5p in Hemecs. mir-33a-5p overexpression or HiF1α silencing also acted to suppress Hemec proliferation, migration and invasion. Furthermore, the results indicated that the neaT1/mir-33a-5p/HiF1α axis regulated the nF-κB signaling pathway. collectively, the results revealed that depletion of lncrna neaT1 suppressed the tumorigenesis of iH by competitively binding mir-33a-5p and thereby stimulating the HiF1α/nF-κB signaling pathway.